While the American Medical Association (AMA) supports some of CMS’ proposals for year two of the Medicare Quality Payment Program (QPP), in some areas, it’s urging CMS to do more to...Read More »
ACDIS members are invited to join the ACDIS Advisory Board today for the Quarterly Membership Conference Call, which will focus on the new clinical validation white paper.Read More »
CMS released the fiscal year (FY) 2018 IPPS final rule on Wednesday, August 2, updating Medicare payment and polices for patients discharged from hospitals from October 1, 2017, to September 30, 2018.Read More »
The concept of Hierarchical Condition Categories (HCC) is not new; CMS implemented the HCC model in 2004 as a way to determine capitated payments for Medicare Advantage plans. With the number of patients enrolled in Medicare Advantage...Read More »
Q: I’ve heard that “exacerbated” can't be used to code acute-on-chronic congestive heart failure (CHF). Coding Clinic, however, states that it can be used. Can you clarify?
Although new technology inherently brings new challenges, it also has the ability to simplify aspects of the CDI process, according to a white paper from ACDIS in partnership with Nuance, titled “...Read More »
Clinical validation is definitely a hot topic in CDI right now. According to the 2017 CDI Industry Survey (which will be made available during CDI Week), 85.13% of respondents sent at least one to five clinical validation queries in the last month. Yet, only 41.81% have a policy governing these...Read More »
